97755 Assistive technology assess
What 97755 is
CMS fee schedule short descriptor: Assistive technology assess.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 97755 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.62 | 0.50 | 0.01 | 1.13 | $37.74 |
| Facility (hospital, ASC) | 0.62 | 0.50 | 0.01 | 1.13 | $37.74 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 97755 at 8 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 97755? These codes are bundled into it
97755 is a Column 1 code in 17 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
97035 | App mdlty 1+ultrasound ea 15 | 1 - modifier may bypass | Check pair |
97110 | Therapeutic exercises | 1 - modifier may bypass | Check pair |
97112 | Neuromuscular reeducation | 1 - modifier may bypass | Check pair |
97140 | Manual therapy 1/> regions | 1 - modifier may bypass | Check pair |
97530 | Therapeutic activities | 1 - modifier may bypass | Check pair |
97533 | Sensory integration | 1 - modifier may bypass | Check pair |
97535 | Self care mngment training | 1 - modifier may bypass | Check pair |
97537 | Community/work reintegration | 1 - modifier may bypass | Check pair |
97542 | Wheelchair mngment training | 1 - modifier may bypass | Check pair |
97545 | Work hardening | 1 - modifier may bypass | Check pair |
97750 | Physical performance test | 0 - no modifier bypass | Check pair |
97760 | Orthotic mgmt&traing 1st enc | 1 - modifier may bypass | Check pair |
97761 | Prosthetic traing 1st enc | 1 - modifier may bypass | Check pair |
97763 | Orthc/prostc mgmt sbsq enc | 1 - modifier may bypass | Check pair |
97755 is bundled into these codes
97755 appears as a Column 2 code in 19 active edits. Reported with one of these Column 1 codes on the same date of service, 97755 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0728T | Dx alys vstblr implt uni 1st | 0 | Check pair |
0729T | Dx alys vstblr implt uni sbq | 0 | Check pair |
92597 | Oral speech device eval | 0 | Check pair |
92601 | Cochlear implt f/up exam <7 | 0 | Check pair |
92602 | Reprogram cochlear implt <7 | 0 | Check pair |
92603 | Cochlear implt f/up exam 7/> | 0 | Check pair |
92604 | Reprogram cochlear implt 7/> | 0 | Check pair |
92607 | Ex for speech device rx 1hr | 0 | Check pair |
92608 | Ex for speech device rx addl | 0 | Check pair |
92609 | Use of speech device service | 0 | Check pair |
92640 | Aud brainstem implt programg | 1 | Check pair |
97161 | Pt eval low complex 20 min | 0 | Check pair |
97162 | Pt eval mod complex 30 min | 0 | Check pair |
97163 | Pt eval high complex 45 min | 0 | Check pair |
97164 | Pt re-eval est plan care | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.